Official Use Only:
Application for Internship 2014/2015
PO Box 2043, Kennesaw, GA 30156 * Phone 770-528-3580
Submit Via Email: [email protected]; Website: www.georgiagames.org
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Part I.:
Demographics
Official Name:____________________________________ Preferred to be called: __________________
Gender: ___ Male or ___Female
Birth Date: ___/___/___
Age: ___________
School Mailing Address:_______________________________________________________________
City ____________________________________________State ______________Zip______________
Permanent Mailing Address:___________________________________________________________
City ____________________________________________State ______________Zip______________
Contact information: School E-mail: ___________________________________________________
NON-School E-mail: ______________________________________________
Cell phone: (
) _____________________ Day phone: (
)______________________________
Part II.: Position
Position desired: (Check any that apply, but rank them 1, 2, 3, etc)
__Public Relations __Graphic Design
__Website
__Events Mgmt.
__ Logistics
__Volunteer Mgmt.
__Marketing
__Sponsorship Compliance ___Sponsorship Sales
___Fundraising
Internship semester: Jan-May_______
May-Aug_______
When is your Finals Week (exact dates)?
_______
When is your Graduation Date (exact date): _______
Will you be returning to the same University after this internship ends?
Part III. :
Education
College/University: ________________________________
Major: __________________________ Minor: _____________
Degree Seeking: ___Bachelors
or ___ Masters
Aug-Dec______
__Yes or __No
Year in College: ____________________
G.P.A. overall:____ G.P.A. Major: _____
Program Director: _________________________________________
Email: __________________________________________________ Phone: (
) ___________________
YOUR DIRECT Intern Coordinator or Supervising Contact: _________________________________________
Email: __________________________________________________ Phone: (
) ___________________
What is the EARLIEST that you can begin (Exact Date required)? _______________
What is the LATEST day you can work until (Exact Date required)? ______________
For your college:
Are you taking this internship as a graduation requirement? __Yes or __No
Are you taking this internship for Academic Credit?
__Yes or __No If not, can you? ______
Will you be taking classes while doing this internship?
__Yes or __No ON-Line only? __Yes or __No
Part IV.: Computer Skills & Certifications:
Rating: (0=never used; 1=played with; 2=used for one project; 3=used frequently; 4=expert)
Basic
MS Word
MS Excel
MS Access
Adobe Acrobat
Rating Graphics
Illustrator
Photoshop
Publisher
In-Design
Rating Website Development:
Dreamweaver
HTML Code
Other
Other
Rating Other Software:
Hytek
Other
Other
Other
YES or NO
Lifeguard Certification
Basic First Aid CPR Certification
Advanced First Aid CPR
Other Medical Training
Rating
YES or NO
CDL (Commercial Truck License )
Referee/Official Certified
Sports expertise
Other special training:
Part V.
Do you need to work a job while doing this internship?
__Yes or __No
Do you REQUIRE a paying internship and if so, how much?
__Yes or __No $______
Are you able to work at least 40 hours a week M-F and weekends?
__Yes or __No
If not why and what can you work? ______________________________________________
Do you need housing during this internship?
__Yes or __No
If not, where will you live or what options do you have during the internship AND with who?
(exact address required)? ___________________________________________________________
If housing cannot be provided, are you willing to find AND pay for your housing on your own? __Yes or __No
Part VI. Miscellaneous Differentiation Questions
Do you have a reliable car/truck that you can bring to the internship?
__Yes
Can you call on people to ask for money or to register for a program?
__Yes
Do you have any expertise in computer technology (hardware, software, etc?)
__Yes
Do you have any expertise as a “handyman”/”craftsman” building or constructing things? __Yes
Do you have any photography proficiencies aside from “selfies” or social?
__Yes
Do you have any experiences driving a large truck (16’ or larger)?
__Yes
Do you have any experiences working in a warehouse or using a Palate Jack?
__Yes
Do you have any experiences screen/ heat press printing T-shirts?
__Yes
or
or
or
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__No
__No
__No
__No
__No
__No
__No
__No
Why should the Georgia Games bring you on as an Intern? ______________________________________
What sets you apart from all of the others interns applying for these positions? ______________________
What does an Internship Site OWE you? ___________________________________________________
Why is finding a quality internship so important to you? ________________________________________
What do you expect to learn at the Georgia Games Internship? __________________________________
Previous Volunteer and Non-for-profit experience: __________________________________
Part VII:
Please list Three References that can attest to your character, work ethic, integrity and skills. Supervisors
ONLY and only one can be from a professor and No family members. Must have email addresses!
1) Full Name: _____________________________________ Relationship to yourself: ____________________
Email address: ________________________________ Daytime telephone number: (
) _______________
2) Full Name: _____________________________________ Relationship to yourself: ____________________
Email address: ________________________________ Daytime telephone number: (
) _______________
3) Full Name: _____________________________________ Relationship to yourself: ____________________
Email address: ________________________________ Daytime telephone number: (
) _______________
Part VIII:
Type in your INITIALS on each of these statements agreeing to each of them:
____ I understand that this is a PROFESSIONAL experience and will treat this experience and the Georgia
State Games with the utmost professionalism at all times.
____ I acknowledge that I DO NOT use and WILL NOT use any legal or illegal drugs, chemicals, narcotics or
any other substances that would be deemed illegal or unprofessional by my college, any law enforcement
agency or the Georgia State Games at any time during these internship dates.
____ I acknowledge and give permission to the Georgia State Games to be submitted to State of Georgia drug
testing protocols as dictated under the Georgia State Code.
____ I acknowledge that I am in good physical, emotional and psychological condition to perform all of the
duties assigned including physical lifting up to 100 lbs, stressful situations, close work with team members,
customers and roommates, and situations needing high amounts of concentration, organization and
independence.
____ I acknowledge that providing false information on this application can be construed as fraud and can have
very serious ramifications. By placing my initial on the line, I certify that all of the information is complete and
truthful.
To Apply, Submit via ONE EMAIL:
1) THIS APPLICATION; 2) RESUME; 3) COVER LETTER & 4) SPORTS QUESTIONNAIRE
For PR or Graphics Applicants: Additionally submit copies of your writing samples, on-line graphics
portfolio or website samples along with the above items.